Provider Demographics
NPI:1710160171
Name:FIELDS, SHARON PERKINS (ARNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:PERKINS
Last Name:FIELDS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HODGENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42748-1559
Mailing Address - Country:US
Mailing Address - Phone:270-358-3829
Mailing Address - Fax:270-358-9350
Practice Address - Street 1:207 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HODGENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42748-1559
Practice Address - Country:US
Practice Address - Phone:270-358-3829
Practice Address - Fax:270-358-9350
Is Sole Proprietor?:No
Enumeration Date:2007-12-08
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1040759363LF0000X
KY3005433363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner